36-409 EMERSON WAY-PUMP HOUSE BP-2016-1153
(us#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 36.409 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:shed BUILDING PERMIT
Permit# BP-2016-1153
Project# JS-2018-001997
Est. Cost:$.59000.00
Fee:$100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: contractor: License:
Use Group: STEPHEN FERRARI 98877
Lot Sizes .ft): Owner: EMERSON WAY LLC
Zoning: Applicant: STEPHEN FERRARI
AT: EMERSON WAY- PUMP HOUSE
Applicant Address: Phone: Insurance:
103 RYAN RD (413) 588-8975 ()
FLORENCEMA01062 ISSUED ON:9/Is/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 16 X 18 PUMP HOUSE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P-W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: aili Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE co Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 9/15/2016 0:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File k BP-2016-1153
APPLICANT/CONTACT PERSON STEPHEN FERRARI
ADDRESS/PHONE 103 RYAN RD FLORENCE01062 (413) 588-8975()
PROPERTY LOCATION EMERSON WAY- PUMP HOUSE
MAP 36 PARCEL 409 001 ZONE
THIS SECTION FOR OFFICIAL. USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ayaa �(
Fee POd /et
[Building Permit Filled out
Fee Paid
TypedConstruction: CONSTRUCT 16 X 18 PUMP}l OUSE ._
New Constntetion
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 98877 sit, ry �� c
3 sets of Plans/Plot Plan V Lece-
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I(nOptATTON PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission „ Permit DPW Storm Water Management
Demo i � %p
Signa • of ding 0 /Oa Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Manning&Development for more information.
•
"" - - Version1.7 Commercial Building Permit May 15.2000
Department use only
City of Northampton Status of Permit:
APR - Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
J Room 100 Water/Well Availability
t+ue HAM- .Ln t ..� ..,. Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Spedfy
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGy -r 7 • +R DEMOLISH ANY BUILDING
OTHER THAN A ONE OR 0 71.15�t A1l'5i
SECTION 1 -SITE II�FQ$M ATtON - —T Inn"
E ,:: l be ompleted by office
1.1 Property Addre s
6EFr
-at
Emerson Way 01,E Ma naxr:n dag[ Unit
Florence, MA App — 1 3
Zone ID Overlay
District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2,1 Owner of Record:
Emerson Way, LLC PO Box 686, 150 Main ST,Northampton, MA
Name(Print) Current Mailing Address:
1413) 582-9970
Signature ,,, ._, Telephone
LZ Authorized Agent:
Stephen Ferrari 103 Ryan RD, Florence.MA 01062
Name(Print) Current Mailing Address:
(413) 588-8975
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to he Official Use Only
completed by permit applicant
1. Building 835.000.00 (a)Building Permit Fee
2, Electrical
S12.5 00.00 (b) estimated Total Cost of
_.....
Congtrmfrom t6)
Permit Plumbing $8-500.00 Building Permit Fee /x(/�
4. Mechanical(HVAC) V
5. Fire Protection $1000.00
6. Total=(1 +2+3+4+5) $59.000.00 Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Vcrsionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs 0 Demolition 0 Repairs 0 Additions 0 Accessory Building
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing Change of Use❑ Other❑
Brief Description Construct a I N x 1 R' Accessory wood framed building to house a water system pump and hack
Of Proposed Work: up generator
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 0 A-2 0 • A-3 0 1A I ❑
A4 0 A-5 0 16 0
B Business ❑ 2A ❑
E Educational ❑ 2B 0
F Factory 0 F-1 0 F-2 0 2C 0
H Nigh Hazard 0 3A 0
I Institutional 0 I-1 ❑ 1-2 0 1-3 0 38 4Pf
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
s storage ❑ S-1 ❑ S-2 0 56 ei
U Utility Q �i Specify. Accessory Building-Pump House p
M Mixed Use ❑ Specify:
S Special Use ❑ Specify.
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group' Proposed Use Group'
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34),
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
288
2"
2"
3 3m
4l 4
111
Total Area(sf) Total Proposed New Construction(sf)
288
Total Height(ft)
Total Height ft 14
7.Water Supply(M-G.L.c.40,§64) 7A Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone Outside Flood Zane❑ I Municipal 0 On site disposal system
Version L7 Commercial Building Permit May 15,2000
8, NORTHAMPTON ZONING Per Piet s4 /J[R.. he tiro Vet/
Existing Proposed R4uired by Zoning
This column w be ed n by
Building Department
Lot Size
Frontage
Setbacks Front
Side L:.... R: L: R
Kept
Building Height
Bldg.Square Footage .a
Open Space Footage °a
(dot area minus bldg eti paved
piking]
g of Parking Spaces
Fill:
Skutume&Lova,eH
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW O YES O
W YES, date issued: 01114/2015
IF YES: Was the permit recorded at the Registry of Deeds? /^�
NO O DONT KNOW O YES (3
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained fl Obtained O , Date Issued: 04/28/2005
C. Do any signs exist on the property? YES Q NO O
IF YES, describe size, type and tocation:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and tocation:
E, Will the construction activity disturb(clearing.grading,excavation, or filling)over 1 arse or is it pal of a common plan
that will disturb over 1 acre's YES O NO O
IE YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15, 2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 38,000 C.F.OF ENCLOSED SPACE) _
9.1 Registered Architect:
Not Applicable 0
Name(Registrant):
Registration Number
Address
Expiration Date
Signature ..�...�. _ Telephone
S.2 Registered Professional Engineer(s):
Name Area of Reeponsibtity
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
.�.._.....�....._... � .
Si nature Telephone Expiration Date
9.3 General Contractor
. ._..... Not Applicable 0
Company Name.
Responsible In Charge of Construction
Address
Signature Telephone
Version 17 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.111 !
Independent Structural Engineering Structural Peer Review Required Yes O No O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I. Richard Madowit2 .as Owner of the subject property
hereby authorize Stephen Ferrari to
act I my be�half in ail matters relative tow k authorized by this building permit application.
03/24/2016
Signre of CNmerT—V—' Date
Stephen Ferrari
I, ...,, as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Signed under the pains and penalties of perlurv.
Stephen Ferrari
Prkd.- e -- ..
��r, Sweat03/24/2016
Sig :lure of• er/Agen Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Homer: Stephen Ferrari CS-098877
License Number
103 Ryan Road,Florence,MA 01062 05/23/2017
AddressExpiration Date
-
i�� f / y (413) 588-8975
Sign. re Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 162,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit L/
Signed Affidavit Attached Yes No 0
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined/ by MGL c 111, S 150k tI
Address of the work: C "2P�S� y Wte / ( Not is �p �� « "
The debris will be transported by: FF-901The debris will be received by: Lif // cy C` ye I ( 5
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of industrial Accidents
..
Office of Investigations
• m
=. qe?a = I Congress Street,Suite 100
' Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): Steve Ferrari, FGM Smart Build
Address: 103 Ryan Road
City/State/Zip:Florence, MA 01062 Phone #:413-588-8975
Are you an employer?Check the appropriate box:
I am a general contractor and t Type of project(required):
L❑ I am a employer with 4. 0
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
listed on the attached sheet. 7. ❑ Remodeling
2.N 1 am a sole proprietor or partner-
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers'
9Buildingaddition
[No workers' comp. insurance comp. insurance? ❑
required.] 5. ❑ We are a corporation arid its 10.0 Electrical repairs or additions
3.❑ lama homeowner doing all work officers have exercised their I LC Plumbing repairs or additions
myself, [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] f c. 152,§1(4),and we have no
employees. (No workers' 3.0 Other
comp. insurance required.]
"Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing an work and then hire outside contractors must submit a new affidavit indicating such.
1Contactors thin check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. lithe sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: _
Policy#or Self-ins. Lie, #: Expiration Date:
Job Site Address: _..- City/State:Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cer ify under the pains and penalties of perjury that the information provided above is true and correct.
Y
Sig ature: dat i ` ?< —x,,{ Date: January 21, 2015
Phone#: 413-588-8975 —
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Bk: 12386 Pg:45
•
op:aaM.roy
PIANNINGAND SUSTAINABII.TIY•CITY OF NORI'HAMI'TON
punningconservation.toning nonmmpmn GIS•historic•community preservation-central6 architecture
• f �� Carolyn Misch.MCP,Senior Ung Use Planner amsA(`nornumpinnma.{wyy-SK]-raA7
1 If''(11101111111 0
0k: 12386Pg 45 Page: 1 ct 1 August 11, 2016
Recorded: 06/29/201 G 02:10 PM
NOTICE OF SUBDIVISION AMENDMENT APPROVAL
To: City Clerk
The Planning Board by 5-0 vote on August 11,2016 APPROVED a minor modification to an
amendment to the Emerson Way(formerly known as"Oaks")Subdivision
Name or description: Emerson
• Emerson Way,LLC
Address: 150 Main Street, Northampton
•
•
Modifying the original amendment granted December 11, 2014 related to the installation of the water
pump house and back up generator by eliminating the condition granted in that amendment.The original
approval stands as follows:
The Planning Board approved the request to install a water pump house and backup generator to
and eliminate condition#26 and modification of condition#31 as listed under the'2003 Original
Permit Conditions(with modified lot numbers from 2012 amendment)section of the April 12, 2012
amendment. The elimination of this condition allows all the lots to be serviced by a private water
snn rnmt will nrnvinn ndpnuatp fire nrntentinn withnut the need for individual fire suocression.
Hampshire County - 20/20 Perfect Vision i2 Document Detail Report
Current datetime: 9/15/2016 12:26:03 PM
Doc# Document Type Town Book/Page File Date Consideration
17807 NOTICE 12386/45 08/26/2016
Property-Street Address and/or Description
150 MAIN ST
Grantors
EMERSON WAY LLC, NORTHAMPTON CITY PLANNING
Grantees
NOTICE OF SUBDIVISION AMENDMENT APPROVAL
References-Book/Pg Description Recorded Year
Registered Land Certificate(s)-Cert# Book/Pg